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Motivational Interviewing

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Ashley Archiopoli

on 27 September 2017

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Transcript of Motivational Interviewing

Motivational Interviewing
Defining MI
Fundamental Concepts
Collaboration
Evocation
Autonomy
Values of MI
Determine why someone would want to make change and help them with the follow through
The
patient
is responsible for change
Honors autonomy
Ability to choose
Benefits of MI
The first meeting matters
A 15 minute interaction that integrates MI has a greater effect than one that does not
It is a broadly applicable practice
Increases treatment retention
This is an approach to the health care interview that promotes patient empowerment and autonomy

Allow for the patient to guide the interaction

Meet them where they are at--it is about small changes that lead to eventual big changes
History of MI
Started by Miller & Rollnick of UNM at Center on Alcoholism Substance Abuse and Addictions (CAASA)
Collaborative invitation to change
This approach is not about persuasion
Instead communicating in partnership
Not limited to the health care context
Collaboration
Movement in collaborative relationships between the patient and provider
Emphasis on shared control
Reducing relational distance
Appreciating diversity
Sex
Age
Culture
Stereotypes
Based on the Transtheoretical Model
Precontemplation: not aware of the problem
Contemplation: thinking about a problem
Action: making a change
Maintenance: stick to change six months or more
(duPre, 2014)
Three Stages in Motivational Interviewing
Not interested
Raise doubt
Provide an open door through more information
Ask permission before sharing
Ambivalent about change
This is most of us!
Find a way to tip the balance
People are committed to changing
Walk beside these individuals
Find the best way to approach change
Skills
Open-ended questions
Affirmations
Reflective listening
Summarizing
Full transcript